Ventricular fibrillation and arrhythmia associated with cardiac fibromas involving both ventricles in a 1.5-year-old girl.

IF 0.4 4区 医学 Q4 MEDICINE, LEGAL
Rechtsmedizin Pub Date : 2023-01-01 Epub Date: 2023-02-07 DOI:10.1007/s00194-023-00615-2
Daniel Farkaš, Mária Pisarčíková, Peter Vasovčák, Anna Crhová, Alžbeta Ginelliová, Lucia Mistríková, Lucia Fröhlichová, Silvia Farkašová Iannaccone
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引用次数: 0

Abstract

This article reports the autopsy findings of a 1.5-year-old girl with no history of previous hospital admission who suddenly collapsed at home. After 45 minutes of resuscitation efforts, the cardiac activity was restored. During hospitalization, she had ventricular arrhythmia and extremely elevated cardiac troponin levels. Internal examination and immunohistochemistry revealed cardiac fibromas of the right and left ventricles and extensive hypoxic myocardial damage. The right ventricular fibroma demonstrated interdigitating and entrapped myocardium visible at the edges and within the central portion of the tumor. The left ventricular fibroma originated in the subepicardial region and propagated towards the endocardium.

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一名1.5岁女孩的心室颤动和心律失常与双心室的心脏纤维瘤相关。
这篇文章报道了一名1.5岁女孩的尸检结果,她之前没有入院史,突然在家中晕倒。45之后 经过几分钟的复苏努力,心脏活动恢复了。在住院期间,她出现了室性心律失常和肌钙蛋白水平极高。内部检查和免疫组织化学显示右心室和左心室的心脏纤维瘤和广泛的缺氧性心肌损伤。右心室纤维瘤显示在肿瘤边缘和中心部分可见交叉和包埋的心肌。左心室纤维瘤起源于心外膜下区域,并向心内膜扩散。
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来源期刊
Rechtsmedizin
Rechtsmedizin MEDICINE, LEGAL-
CiteScore
1.30
自引率
40.00%
发文量
45
审稿时长
6-12 weeks
期刊介绍: Rechtsmedizin is an internationally recognized journal dealing with all aspects of forensic medicine. It provides information on current developments in forensic pathology, traumatology, traffic medicine, toxicology, serology, insurance medicine, psychopathology and legal medical issues. Freely submitted original papers allow the presentation of important clinical studies and serve scientific exchange. Case reports feature interesting and unique cases thus providing a platform for scientific information and critical discussion. Comprehensive reviews on a specific topical issue focus on providing evidenced based information on all aspects of the field. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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